Massachusetts › Suffolk County › East Boston
The Center At Advocate
111 Orient Avenue, East Boston, MA 02128
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 190 beds, The Center At Advocate serves East Boston in Suffolk County, Massachusetts and has taken Medicare and Medicaid residents since 1990.
CMS gives it 1 of 5 stars overall, below the Massachusetts median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 66 health deficiencies across the three most recent survey cycles (11, 35, 20 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 34.7 per 100 beds, more than the state median of 21.7.
CMS lists 2 penalties in the period covered: fines totalling $69K.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 41.5%.
Compared with county, state and nation
| Measure | This facility | Suffolk Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 66 | 31 | 27 | 28.7 |
| Citations per 100 beds | 34.7 | 18.1 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.4 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 41.5% | 26.5% | 37.7% | 45.8% |
| Fines listed | $69,000 | $0 | $0 | — |
County and state figures are medians across facilities (22 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 10 Jun 2024.
Severity mix: J ×3 G ×4 D ×48 E ×7 F ×2 B ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Dec 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 21 Nov 2025 |
| 19 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Feb 2026 |
| 19 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Feb 2026 |
| 5 Jun 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 30 Jun 2025 |
| 5 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Jun 2025 |
| 5 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Jun 2025 |
| 5 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Jun 2025 |
| 5 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Jun 2025 |
| 5 Jun 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 30 Jun 2025 |
| 5 Jun 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 30 Jun 2025 |
| 5 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Jun 2025 |
| 23 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 21 May 2025 |
| 23 Apr 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 21 May 2025 |
| 23 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 21 May 2025 |
| 23 Apr 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint investigation | 21 May 2025 |
| 23 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 29 Mar 2025 |
| 23 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 21 May 2025 |
| 4 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Dec 2024 |
| 10 Jun 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | G | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 27 Jun 2024 |
| 26 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 22 May 2023 |
| 26 Apr 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 22 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Apr 2025 | Fine | $15,316 | |
| 10 Jun 2024 | Fine | $53,684 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 41.5%, RNs 44.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.2% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.6% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.9% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: The Center At Advocate Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ma 1 Holdco Opco LLC | Direct ownership interest | NOT APPLICABLE | 03/01/2025 |
| Ofg Magenta LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2025 |
| Tja Hc Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 03/01/2025 |
| Nbh Bank | 5% or greater mortgage interest | NOT APPLICABLE | 03/01/2025 |
| Care Network Services LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| 111 Orient Propco LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Asma 1 LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Bh 1 Ma LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Care Network Services LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Twomagnets LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Suffolk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Boston Home, Inc (the) | Boston | 96 | 5 | 5 | 5 | 0 | 0.0 | — | — |
| Bostonian Nursing Care & Rehabilitation Center | Dorchester | 121 | 5 | 5 | 3 | 17 | 14.0 | — | 29 May 2025 |
| German Center For Extended Care | Boston | 133 | 5 | 4 | 4 | 20 | 15.0 | — | 27 Feb 2025 |
| Katzman Family Center For Living | Chelsea | 123 | 5 | 5 | 4 | 3 | 2.4 | — | 9 May 2024 |
| Laurel Ridge Rehab and Skilled Care Center | Boston | 120 | 5 | 4 | 4 | 16 | 13.3 | — | 21 May 2025 |
| Leonard Florence Center For Living | Chelsea | 100 | 5 | 5 | 5 | 8 | 8.0 | — | 20 Nov 2025 |
| Recuperative Services Unit-Hebrew Rehab Center | Boston | 50 | 5 | 4 | 3 | 12 | 24.0 | — | 21 Jan 2026 |
| Spaulding Nursing and Therapy Center - Brighton | Boston | 123 | 5 | 5 | 5 | 6 | 4.9 | — | 12 Mar 2025 |
All 22 facilities in Suffolk County
Questions and answers
How many deficiencies has The Center At Advocate been cited for?
66 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has The Center At Advocate been fined?
Yes. CMS lists fines totalling $69K in the period covered.
How does staffing at The Center At Advocate compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates The Center At Advocate?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ma 1 Holdco Opco LLC, Ofg Magenta LLC and Tja Hc Holdings LLC. Individual owners and managers are not listed on this site.
When was The Center At Advocate last inspected?
The most recent survey or investigation in the CMS record is dated 19 Dec 2025; the most recent standard health survey was 5 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.